- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,523.50 / $25,217.10 / $34,885.00
| Facility | | $7,523.50 | $25,217.10 | $34,885.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,607.84
| Facility | | $1,146.00 | $3,000.00 | $10,607.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,491.39 / $13,114.21 / $24,324.98
| Facility | | $9,491.39 | $13,114.21 | $24,324.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,491.39 / $13,542.30 / $24,324.98
| Facility | | $9,491.39 | $13,542.30 | $24,324.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,784.93 / $26,025.29
| Facility | | $5,419.00 | $16,784.93 | $26,025.29 |